Industries › NAICS 623
Nursing and Residential Care Facilities
NAICS subsector 623. OSHA inspections, injury summaries, Wage and Hour cases and OFLC filings for employers classified in the subsector.
Nursing and Residential Care Facilities (NAICS 623) accounts for 9,987 OSHA inspections since 2016, 1.3% of all inspections, with $21M in current penalties ($2,085 per inspection; all industries $3,754).
Wage and Hour Division cases concluded in the industry number 15,371, with $192M in back wages agreed to pay. Employers in the industry filed 1,406 labor condition applications and 5,046 PERM applications in the fiscal years covered.
21,052 establishments reported 2025 injury summaries: a total recordable case rate of 4.5 per 100 full-time workers, above the 3.5 across all reporting establishments; the median reporting establishment has a rate of 4.4 (quartiles 1.5–8.0).
OSHA inspections and citations
Citations may be contested; the status shown reflects the record at the data date. Enforcement data through 14 Sep 2026.
| Measure | NAICS 623 | All industries |
|---|---|---|
| Citations per inspection | 1.6 | 1.9 |
| Current penalty per inspection | $2,085 | $3,754 |
| Share of all inspections | 1% | 100% |
Most-cited standards
| Standard | Subject | Citations |
|---|---|---|
| 1910.134 | Respiratory protection | 2,004 |
| 1910.1030 | Bloodborne pathogens | 1,950 |
| OAR | — | 1,893 |
| 1910.1200 | Hazard communication | 1,134 |
| 1910.303 | Electrical, general requirements | 485 |
| 1910.305 | Electrical, wiring methods, components and equipment | 395 |
| 1910.132 | Personal protective equipment, general requirements | 323 |
| 1910.502 | — | 192 |
| 1910.151 | Medical services and first aid | 182 |
| 1910.157 | Portable fire extinguishers | 170 |
Employers with the most inspections
| Employer | City | Inspections |
|---|---|---|
| Brookdale Senior Living Communities Inc. | Lynnwood | 15 |
| State of Connecticut Department of Developmental Services | Waterford | 14 |
| Ohnh Emp LLC | Cincinnati | 13 |
| Nysopwdd Valley Ridge Cit | Norwich | 11 |
| Covenant Care California, LLC | Aliso Viejo | 10 |
| Mi Dhhs Caro Center | Caro | 9 |
| Pioneer Human Services | Seattle | 9 |
| Wa St Veterans Affairs Dept of | Port Orchard | 9 |
| Aegis Senior Communities, LLC | Seattle | 8 |
| Brookdale Senior Living Communities, Inc. | Scotts Valley | 8 |
| Central Nursing Home | Chicago | 8 |
| Commonspirit Health | Tacoma | 8 |
| Life Care Centers of America | Cleveland | 8 |
| Nysopwdd West Seneca Developmental Ctr | West Seneca | 8 |
| Glenwood Resource Center | Glenwood | 7 |
| Il Dept. of Human Services - Shapiro Developmental Center | Kankakee | 7 |
| Medicalodges, Inc. | Coffeyville | 7 |
| Njdhs, Vineland Developmental Center | Vineland | 7 |
| Nysomh Rochester Psychiatric Center | Rochester | 7 |
| Chemung County Nursing Facility | Elmira | 6 |
The list names employers that have a page on this site (organisations above the size floor); the totals above count every record in the files.
Injuries Form 300A summaries
Establishments submit their own Form 300A summaries; OSHA publishes the data as submitted and does not verify it. Rates are per 100 full-time workers.
Injury-rate distribution, 2025
Total recordable case rates across 18,279 establishments with at least 20,000 hours worked; the pooled rate uses all 21,052 reporting establishments' hours and cases.
| Year | Establishments | Employees | Recordable cases | TRC rate | DART rate | Median establishment |
|---|---|---|---|---|---|---|
| 2023 | 21,997 | 3,035,853 | 108,807 | 7.1 | 5.3 | 5.0 |
| 2024 | 20,675 | 3,119,006 | 93,261 | 6.0 | 4.2 | 4.8 |
| 2025 | 21,052 | 4,269,999 | 80,762 | 4.5 | 3.0 | 4.4 |
Labor Wage and Hour Division
Concluded compliance actions since fiscal year 2005; amounts are back wages the employer agreed to pay, as recorded at case conclusion. Data through 15 Jun 2026.
Acts
| Act | Violations | Back wages |
|---|---|---|
| Fair Labor Standards Act | 279,370 | $179M |
| Service Contract Act | 8,403 | $9.8M |
| H-1B provisions | 138 | $960K |
| Family and Medical Leave Act | 152,652 | $933K |
| FLSA subminimum wage, patient workers | 1,037 | $113K |
| Employee Polygraph Protection Act | 143 | $34K |
| Consumer Credit Protection Act | 13 | $4,735 |
| FLSA child labor provisions | 1,667 | $0 |
| FLSA section 14(c) subminimum wage | 5,279 | $0 |
| Contract Work Hours and Safety Standards Act | 115 | $0 |
Employers with the largest back wages
| Employer | City | Back wages |
|---|---|---|
| Petersen Health Care Inc | Kewanee | $2,943,442 |
| Champaign Residential Services, Inc. | Lima | $727,260 |
| Elwyn | Media | $623,774 |
| Good Samaritan Society | Rapid City | $411,733 |
| Emory Valley Center | Oak Ridge | $350,744 |
| New Lisbon Developmental Center | New Lisbon | $321,890 |
| Catherine's Home Inc. | Fullerton | $320,312 |
| South Carolina Department of Mental Health | Columbia | $297,468 |
| Nobis Care Home | San Bruno | $260,037 |
| Regency Extended Care Center | Yonkers | $210,244 |
| Area Residential Care Inc | Dubuque | $203,224 |
| Centers Health Care | Cooperstown | $201,543 |
| Utah State Developmental Center | American Fork | $189,843 |
| The Brookwood Community | Brookshire | $181,716 |
| Gatesway Foundation, Inc. | Broken Arrow | $150,119 |
The list names employers that have a page on this site (organisations above the size floor); the totals above count every record in the files.
Immigration OFLC labor condition applications and PERM
Employer-specific case information was provided to OFLC by employers who submitted foreign labor certification applications. These are not employer responses to the Bureau of Labor Statistics' survey. Data through 30 Jun 2026.
H-1B applications by fiscal year
PERM applications by fiscal year
Employers with the most H-1B applications
| Employer | City | Applications |
|---|---|---|
| The Devereux Foundation | Red Hook | 156 |
| The Devereux Foundation | Rutland | 110 |
| The Home for Little Wanderers | Boston | 89 |
| Nysarc, Inc Essex County Chapter | Port Henry | 71 |
| NYSARC Inc. Rockland County Chapter | Valley Cottage | 41 |
| Community Based Services | North Salem | 37 |
| The Devereux Foundation | Villanova | 34 |
| The Devereux Foundation | Cherry Hill | 26 |
| Hebrew Rehabilitation Center | Roslindale | 17 |
| The Devereux Foundation | Goleta | 16 |
| United Cerebral Palsy Associations of Nys, Inc. | Fishkill | 15 |
| Dallas County Hospital District | Dallas | 13 |
| St. Luke's Homes, Inc. | Dickinson | 12 |
| Affinity Residential Care LLC | Bloomington | 11 |
| South Bay Circle of Friends Inc. | Torrance | 11 |
The list names employers that have a page on this site (organisations above the size floor); the totals above count every record in the files.
Questions and answers
Which employers in Nursing and Residential Care Facilities have the most OSHA inspections?
Brookdale Senior Living Communities Inc. (15), State of Connecticut Department of Developmental Services (14), Ohnh Emp LLC (13)
What is the injury rate in Nursing and Residential Care Facilities?
Establishments reporting for 2025 had a pooled total recordable case rate of 4.5 per 100 full-time workers; the median reporting establishment's rate is 4.4 with quartiles 1.5 to 8.0.
How many H-1B applications come from Nursing and Residential Care Facilities?
1,406 labor condition applications in fiscal years 2025–2026 and 5,046 PERM applications.
How much in back wages did the Wage and Hour Division find due in Nursing and Residential Care Facilities?
$192,372,632 agreed to pay across 15,371 concluded cases since fiscal year 2005.
Industry is the NAICS code on each record (the most common code where an employer's sources differ), grouped at the three-digit subsector. Sources: DOL enforcement data, OSHA ITA, OFLC disclosure data; see data sources and methodology.